Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952841702 Individual Practitioner Female Practitioner

Ellen Supinski , MSED

Specialist • Keeseville, NY

Professional Overview & Biography Verified Profile Summary

Ellen Supinski, MSED is a registered healthcare professional specializing in Specialist in Keeseville, NY. Practice services are available at 1701 FRONT STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1701 Front Street

Keeseville, NY 12944

Telephone 5185729794

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Keeseville, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
9 Specialists

Practicing in Keeseville, NY (23296 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 635691931

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2017

Registered at 1701 FRONT STREET, KEESEVILLE, NY 12944 (Tel: 5185729794)

📍
Updated Business Mailing Address February 27, 2017

Registered at PO BOX 695, DANNEMORA, NY 129290695 (Tel: 5185729794)

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Provider Name / Credentials Updated February 27, 2017

Recorded as ELLEN SUPINSKI, MSED

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2017

Specialist (License #635691931 in NY)

🟢
Initial NPI Registration & Enumeration February 27, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1952841702
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2017
Last Update: February 27, 2017
Sole Proprietor: Yes

Mailing Address

Po Box 695

Dannemora, NY 129290695

Phone: 5185729794

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.